Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073606687 Individual Practitioner Male Practitioner

Dr. Kenneth A Whittaker , MD

Pediatrics • Newberg, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Whittaker, MD is a registered healthcare professional specializing in Pediatrics in Newberg, OR. Practice services are available at 506 N VILLA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

506 N Villa Rd

Newberg, OR 971321833

Telephone 5035540036
Fax 5035389257

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Newberg, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Newberg, OR (880 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-15
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OR MD19011

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
081448 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. John Cummings , MD

Family Medicine

NPI 1003811795

Doctor of Medicine (M.D.)

NPI 1427166982

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 15, 2021

Registered at 506 N VILLA RD, NEWBERG, OR 971321833 (Tel: 5035540036)

👤
Provider Name / Credentials Updated June 15, 2021

Recorded as KENNETH WHITTAKER, MD

📍
Updated Business Mailing Address June 07, 2021

Registered at 506 N VILLA RD, NEWBERG, OR 971321833 (Tel: 5035540036)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 506 VILLA RD, NEWBERG, OR 971321833 (Tel: 5035540036)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 240, NEWBERG, OR 971320240 (Tel: 5035540036)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH WHITTAKER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #MD19011 in OR)

🟢
Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073606687
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: June 15, 2021
Sole Proprietor: Yes

Mailing Address

506 N Villa Rd

Newberg, OR 971321833

Phone: 5035540036

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.